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Adaptation of public health initiatives: expert views on current guidance and opportunities to advance their application and benefit.
Health Education Research ( IF 2.221 ) Pub Date : 2020-07-06 , DOI: 10.1093/her/cyaa014
Sze Lin Yoong 1, 2, 3, 4 , Katarzyna Bolsewicz 1, 2 , Alice Grady 1, 2, 3, 4 , Rebecca Wyse 1, 2, 3, 4 , Rachel Sutherland 1, 2, 3, 4 , Rebecca Kate Hodder 1, 2, 3, 4 , Melanie Kingsland 1, 2, 3, 4 , Nicole Nathan 1, 2, 3, 4 , Sam McCrabb 2 , Adrian Bauman 5 , John Wiggers 1, 2, 3, 4 , Joanna Moullin 6 , Bianca Albers 7 , Maria E Fernandez 8 , Alix Hall 4 , Joanie Sims-Gould 9 , Natalie Taylor 5, 10 , Chris Rissel 4, 11 , Andrew Milat 12 , Andrew Bailey 13 , Samantha Batchelor 14 , John Attia 2, 4 , Luke Wolfenden 2, 3, 4, 10
Affiliation  

While there is some guidance to support the adaptation of evidence-based public health interventions, little is known about adaptation in practice and how to best support public health practitioners in its operationalization. This qualitative study was undertaken with researchers, methodologists, policy makers and practitioners representing public health expert organizations and universities internationally to explore their views on available adaptation frameworks, elicit potential improvements to such guidance, and identify opportunities to improve implementation of public health initiatives. Participants attended a face to face workshop in Newcastle, Australia in October 2018 where World Café and focus group discussions using Appreciative Inquiry were undertaken. A number of limitations with current guidance were reported, including a lack of detail on 'how' to adapt, limited information on adaptation of implementation strategies and a number of structural issues related to the wording and ordering of elements within frameworks. A number of opportunities to advance the field was identified. Finally, a list of overarching principles that could be applied together with existing frameworks was generated and suggested to provide a practical way of supporting adaptation decisions in practice.

中文翻译:

适应公共卫生举措:专家对当前指导意见和推进其应用和受益的机会的看法。

尽管有一些指南支持对循证公共卫生干预措施的适应,但对适应措施的实践以及如何在实施中最好地支持公共卫生从业人员知之甚少。这项定性研究是与代表国际公共卫生专家组织和大学的研究人员,方法论者,政策制定者和从业人员进行的,以探讨他们对可用适应框架的看法,寻求对此类指导的潜在改进,并确定改善公共卫生举措实施的机会。参加者于2018年10月参加了在澳大利亚纽卡斯尔举行的面对面讲习班,其中进行了世界咖啡厅和焦点小组利用欣赏性询问进行的讨论。据报道,目前的指导有很多局限性,包括缺乏关于“如何适应”的细节,缺乏有关实施策略适应的信息,以及与框架内要素的措辞和排序有关的许多结构性问题。确定了推进该领域的许多机会。最后,列出了可以与现有框架一起应用的总体原则,并提出了建议,以提供一种在实践中支持适应性决策的实用方法。
更新日期:2020-07-06
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